OMRON Small Cuff original accessory (17 - 22 cm) 9515373-3 for OMRON Upper Arm Blood Pressure Monitors

Product Information

Management of hypertensive emergency (hypertension with features of target-organ damage e.g., hypertensive encephalopathy, congestive heart failure, acute kidney injury, papilloedema and/or retinal haemorrhage): This monitor will automatically measure your child’s blood pressure every half hour during the day, and every hour during the night while they are sleeping. Your child will need to keep their arm still during each measurement.

Glucocorticoid remediable aldosteronism (aldosterone synthase hyperactivity or familial hyperaldosteronism type I; due to heterozygous variants in CYP11B2) Saunders TJ, et al. Screen time and health indicators among children and youth: Current evidence, limitations and future directions. Applied Health Economics and Health Policy. 2017; doi:10.1007/s40258-016-0289-3. Blood pressure (BP) rises throughout childhood relative to age and height. As with height and weight, there are specific percentiles for BP measurement available for both genders. Published BP values for males and females are included in Appendices 1 and 2 respectively.Diuretics. Also known as water pills, these act on your child's kidneys to help your child remove sodium and water, reducing blood pressure.

Rapidly progressive forms of GN (e.g., anti-glomerular basement membrane [GBM] disease and ANCA GN) Renal artery stenosis / renovascular disease (e.g., seen in neurofibromatosis type 1, Williams syndrome, Takayasu arteritis, fibromuscular dysplasia, post abdominal radiotherapy, post kidney transplantation, mid-aortic syndrome) Management of acute severe hypertension / hypertensive urgency without evidence of emergency (i.e., stage 2 hypertension without evidence of target-organ damage):

Your child's blood pressure will be measured. The correct blood pressure cuff size is important for measuring accurately. It is also important that blood pressure be measured with proper technique, in a quiet environment, with the child resting comfortably. During a single visit, your child's blood pressure might be measured two or more times for accuracy. FDA cleared: The Food and Drug Administration determines the device meets its criteria for blood pressure cuff devices. eg headache vomiting, vision changes and neurological symptoms (facial nerve palsy, lethargy, seizures, coma) +/- target-end organ damage Table 2 highlights various potential causes of hypertension, subdivided into primary hypertension and secondary hypertension. Please note that this list is not exhaustive. Angiotensin II causes the adrenal gland, which sits on top of the kidney, to release another hormone called aldosterone. Angiotensin II also causes the small blood vessels (arterioles) to constrict (squeeze), which raises blood pressure.

Guzman-Limon M, et al. Pediatric hypertension: Diagnosis, evaluation, and treatment. Pediatric Clinics of America. 2019; doi:10.1016/j.pcl.2018.09.001. A very fast heart rate can signal heart rhythm problems. If your child’s heart rate is too fast to count, that’s a sign to seek medical care. Doppler ultrasound assessment of BP is recommended for younger children (particularly <5 years) and for those who are overnight or obese. A Doppler probe is held over the radial or brachial pulse and the BP cuff should be inflated to 20-30 mmHg above where the pulse is no longer audible. The cuff should then be deflated at a rate of 2-3 mmHg per second and the systolic pressure is evident when there is a Doppler phase shift. Doppler assessment cannot be used for the measurement of diastolic BP.If your child is diagnosed with severely high blood pressure (stage 2 hypertension), your child's doctor will likely recommend blood pressure medications. Loop (e.g., furosemide, bumetanide) and potassium-sparing (e.g., spironolactone and amiloride) diuretics may be considered as adjunct agents but attention should be paid to potential electrolyte disturbances. Loop diuretics may still show efficacy in low GFR states (unlike thiazide diuretics) but higher doses may be needed. This must be balanced with the risk of inducing ototoxicity. Measuring blood pressure in young children can be challenging. Your child’s doctor or nurse will take a few measurements when your child is relaxed. Hypertensive children without severe features may be discharged with appropriate follow-up (See flowchart) Parent information BP is now measured using automated oscillometric devices (e.g., Dinamap ® device) rather than mercury sphygmomanometry. While convenient and widely used, if a raised BP is suspected following use of an automated device, auscultation using a validated manual device (e.g., Accoson Greenlight ® sphygmomanometer) must be performed to confirm a suspected raised BP. The British and Irish Hypertension Society keep an updated list of devices validated for use which is available at: https://bihsoc.org/bp-monitors/for-specialist-use.

User error can also impact accuracy significantly, so be sure to follow the product instructions exactly as they are written. Data StorageThe kidneys and other parts of the body are involved in the renin–angiotensin system, which helps control blood pressure. There are two types of chemicals. Secondary hypertension is more common in younger children (<6 years old) with renal disease being the most prevalent cause. This population is at greater risk of hypertensive emergencies due to an underlying condition Blood pressure is the force, or pressure, that makes the blood flow round the body. Blood pressure is often shortened to BP.